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Home My WebLink AboutBrooks, Bentley 76669C❑LAMA / 1 DREDGE & FILL I^�'. �! I N9 76669 A B �) D GENERAL PERMIT Previous permit# LNew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality "7 f, and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ❑ ules attached. Applicant Name � (-e, A ` f %'/ c,4i ( `> Project Location: County l._ �� "'a' Statef- 11!_- _ Y'/( i Phone #,(. - )1' E-Mail Authorized Agent _ Affected ElCW ❑ EW ❑ PTA DES ❑ PTS A Affecte OEA L HHF _1IH ElUBA ❑ N/A ❑ PWS: ORW: yes / no,, PNA yes / no Type of Project/ Activity Pier (dock)length Fixed Platform(s) Floating Platform(s) Finger pier(s) Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel cubic yards Boat ramp Boathouse/ Beach Other Shoreline Length / SAV: not sure yes n Moratorium: n/a yes Photos: yes nW Waiver Attached: yes A building permit may be required by: ( Note Local Planning jurisdiction) Notes/ Special Conditions I. r , a, t, ', nt or Applicant Printed Name Street Address/ State Roa // L_ot #(s) l � Subdivision City ZIP _ Phone # (_) ppolxRiver Basin Adj. Wtr. Body&�^ o `j 1 6"(at Jman /unkn) Closest Mal. Wtr. Body ([iv t - t - ✓i! `1 (Scale:/4 %..- r"'� �t�`'-� ❑ See note on bac)c regarding River Basin rules. f 4/ U tl d Name Signature ' ** Please read compliance statement on back of permit ** Application Fee(s) Check # at gF , u%/� f � Date Statement of Compliance and Consistency This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void. This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The applicant certifies by signing this permit that 1) prior to undertaking any activities authorized by this permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian landowner(s) . The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available information and belief, certifythatthis project is consistentwith the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: ❑ Tar- Pamlico River Basin Buffer Rules ❑ Other: ❑ Neuse River Basin Buffer Rules If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of Water Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215) for more information on how to comply with these buffer rules. Division of Coastal Management Offices Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888ARCOAST Fax: 252-247-3330 (Serves: Carteret, Craven, Onslow - North of New River Inlet- and Pamlico Counties) Elizabeth City District 401 S. Griffin St. Ste. 300 Elizabeth City, NC 27909 252-264-3901 Fax:252-264-3723 (Serves: Camden, Chowan, Currituck, Dare, Gates, Pasquotank and Perquimans Counties) Washington District 943 Washington Square Mall Washington, NC 27889 252-946-6481 Fax: 252-948-0478 (Serves: Beaufort, Bertie, Hertford, Hyde, Tyrrell and Washington Counties) Wilmington District 127 Cardinal Drive Ext. Wilmington, NC 28405-3845 910-796-7215 Fax:910-395-3964 (Serves: Brunswick, New Hanover, Onslow, - South of New River Inlet - and Pender Counties) http://portal.ncdenr.org/web/cm/dcm-home Revised 7/06/17 ®❑LAMA / 17 DREDGE & FILL }f I < N9 76669 A B D GENERAL PERMIT Previous permit# ❑New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality ! / and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC , ') . I ❑ t f j Rules attached. Applicant Name t -. " C r ± ` .� l / Project Location: County Address > f(' , % (' v '' Street Address/ State Road/ Lot #(s) t/ �.t i •� { City l r r I r State='/ ZIP Phone #,(4)� Authorized Agent Affected El CW AEC(s): DOEA ❑ PWS "E-Mail , Orw PIPTA ❑ES ❑PTS ❑HHF ❑IH ❑UBA ❑N/A ORW: yes /(no,. PNA yes / no Type of Project/ Activity Pier Fixe, Floal Fing, Groff Bulkl Basir Boat Boat Beat Oth, Shor SAV Mon Phot Wait Subdivision City_ ZIP Phone# O River Basin f Adj. Wtr. Body !-i /`: 1 �� a_t man uhkn Closest Maj. Wtr. Body" (Scale:/t,, ) ■■■■■■■■■■EM■■■■■■■■ ■■■■■ ■■■■■■■■■■■■■■■■■ OEM ■■■■■■■■■OEM ■ ■■■ ■■■ ■■ ■■■■ ■® ■■ ■■ ::::C :CC:�■:::::C:■■:®�:::0 .■I,I!■�■■■■ A■■�■■■.. MEN ...■■ ■ ■�■■i1■■ ■Mora N■V■ M ■■■■ ■■■ME : ■ ■■&t■■■ OEM ■■■won NOM■rl■■■■■ MEN ■■■ ■N■■■■■■■■■■■®■■■ ■■■■■■■■■■■■■■■■■■ ■■■■..■■■..■■■�■..EN .......■■ ON:■■■■.�!■ME '.'.�C:: cubic yards_'ramp M ': MEN.::0 ::'■■'■ ME ■ ::■�■E MEN . ... E...... ....... ...■...... Bulldozing— ■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■N■■■■■■■■■■■a■■■■■■■■ ■ ■■■■■■■■■■ ■■Y■■■■■■■■■N■■■■■■■■■■ :i■■■■:■■■ ■ ■■■■ ■■■ ■■■ ■■■■■■■■■■MEM■■■■■C■ME MEME Ane Length:■■:■■E ■■■■ ■■Mnot ■■■■■■, ■■ ■■■ ■ ■ ■■■ �■■■ ■■■■■■, sure yes n torium:' n/a yes ?n. .� ■�C$C■■.:�■..: . ■■i■■� ■.�.■ ■■ : :C::. ::C:::■MMMIM■■C:■:C■:■ A building permit may be required by: ( Note Local Planning Jurisdiction) 1! Notes/ Special Conditions ! ft'' j i� ent or Applicant Printed Name (�' �❑ See note on bac)c regarding River Basin rules. 'Printed Name Signature ' •' Please read compliance statement on back of permit" Application Feels) Check# 'i natlab- I/ / 7/,�) Statement of Compliance and Consistency This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void. This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The applicant certifies by signing this permit that I) prior to undertaking any activities authorized by this permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian landowner(s) . The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available information and belief, certify that this project is consistent with the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: ❑Tar -Pamlico River Basin Buffer Rules ❑ ❑ Neuse River Basin Buffer Rules If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of Water Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215) for more information on howto complywith these buffer rules. Division of Coastal Management Offices Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888-4RCOAST Fax: 252-247-3330 (Serves: Carteret, Craven, Onslow - North of New River Inlet- and Pamlico Counties) Elizabeth City District 401 S. Griffin St. Ste. 300 Elizabeth City, NC 27909 252-264-3901 Fax:252-264-3723 (Serves: Camden, Chowan, Currituck, Dare, Gates, Pasquotank and Perquimans Counties) Washington District 943 Washington Square Mall Washington, NC 27889 252-946-6481 Fax: 252-948-0478 (Serves: Beaufort, Bertie, Hertford, Hyde, Tyrrell and Washington Counties) Wilmington District 127 Cardinal Drive Ext. Wilmington, NC 28405-3845 910-796-7215 Fax:910-395-3964 (Serves: Brunswick, New Hanover, Onslow - South of New River Inlet - and Pender Counties) u http://Portal.ncdenr.org/web/cm/dcm-home Revised 7/06/17 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to L�1Fx�i�'1�00 �C a 's , , (. , IN meffi Pof Property Owner) property located at J U ( 1)19-V V46Zr7' C 1 Ae , U (Address, Lot, Block, Road, etc.) on A�t%�/ILCi�GI �i3 V , in rAs e-r --17A znCA N.C. (Waterbody) T— (CityfTown and/or County) The applicant has described to me, as shown below, the development proposed at the above location. - I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must till in description below or attach a site drawing) WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish 10 waive the 15' setback requirement. (Pro ert Oier In ormatio ) vlure Print or Type ((vv.. e , Z7 T3r�r�v Ks RIC, 6-vit M ilingAddress C / tate/Ztp Telephone Number/email address Date (Adjacent Property Owner Telephon Number/email address (n�tl f 17n Date" (Revised Aug. 2014) 'Valid for one calendar year after signature' mph W ac� �¢ fro �" (4R 5 / �sz �_ Cf50 X � X -LIZ eq y�s 0 7 l �oEa� eagd5 �� eo�ds 'aa,,41--Y S-o7 6.4y da llop u 4le lao / Dkt (e 2 � !pb I hereby certify that I own property adjacent to property located at on The s9pt locatio in 2aa1<5 I of Property Owner) etc.) N.C. romm.f and/or County) has described to me, as shown below, the development proposed at the above I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must fill in description below or attach a site drawing) Y/& d2ol- WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. Telephone Number/email address G —(I— Date (Adjacent Property Owner Information) '/Z Signature* , "�' ->4� Print or Type Name Mailin Address � /�Xe City/State/Zip iQk.�e' u1 Sy Telephone Number/email address ?®L?/-<5j/f-�/S9 Date* �._/Y (Revised Aug. 2014) *Valid for one calendar year after signature* I 4